针刺联合康复训练治疗帕金森病姿势障碍的临床疗效观察

Clinical efficacy observation of acupuncture combined with rehabilitation training on posture disorder in Parkinson disease

目的:观察针刺联合康复训练治疗帕金森病姿势障碍的临床疗效。方法:纳入66例帕金森病姿势障碍患者,随机分为对照组(33例,脱落2例)和观察组(33例,脱落3例)。两组患者均接受西药(多巴丝肼)联合康复训练,观察组在对照组的基础上给予“通督调衡”针刺法治疗,上述治疗为西药每天服用,康复训练及针刺治疗每周6次,均连续治疗2周。分别于治疗前后应用Berg平衡量表(BBS)、统一帕金森病评定量表第三部分(UPDRS-Ⅲ)、39项帕金森病生活质量调查表(PDQ-39)进行评估,比较两组患者的临床疗效。结果:治疗后,两组患者的BBS、UPDRS-Ⅲ、PDQ-39评分均显著优于治疗前(P<0.01);观察组BBS、UPDRS-Ⅲ、PDQ-39评分均显著优于对照组(P<0.01)。治疗结束后观察组总有效率为90.0%(27/30),显著高于对照组的64.5%(20/31)(P<0.05)。结论:针刺联合康复训练治疗帕金森病姿势障碍,能够有效阻止病情发展,延缓慌张步态的发生,从而减少跌倒的风险,可显著改善患者的生活质量。

Objective:To observe the clinical efficacy of acupuncture combined with rehabilitation training in the treatment of postural disorders in Parkinson disease(PD).Methods:A total of 66 patients with PD postural disorders were included and randomly divided into a control group(33 cases,shedding 2 cases) and an observation group(33 cases,shedding 3 cases).Both groups received western medicine combined with rehabilitation training,and the observation group was given ‘Tongdu Tiaoheng' acupuncture treatment on the basis of the control group,and the above treatment consisted of taking western medicine every day for 2 weeks,and the rehabilitation training and acupuncture treatment were given 6 times a week for 2 consecutive weeks.The Berg balance scale(BBS),Unified Parkinson's disease rating scale part Ⅲ(UPDRS-Ⅲ),and 39-item PD quality of life questionnaire(PDQ-39) were evaluated before and after the treatment,respectively,to compare the clinical efficacy of the two groups.Results:After treatment,the improvement of BBS,UPDRS-Ⅲ,and PDQ-39 scores of patients in both groups was better than that before treatment(P<0.01);the improvement of BBS,UPDRS-Ⅲ,and PDQ-39 scores of the observation group was better than that of the control group(P<0.01).The improvement rate of efficacy in the observation group at the end of treatment was 90.0%(27/30),which was significantly higher than 64.5%(20/31) in the control group(P<0.05).Conclusion:Acupuncture combined with rehabilitation training for the treatment of postural disorders in PD is effective in stopping the progression of the disease and delaying the onset of panic gait,thus reducing the risk of falls,and can significantly improve the quality of life of patients.